Humeral fracture - spiral wedge midshaft

Case contributed by A.Prof Frank Gaillard

Presentation

Fall on outstretched arm. Now painful upper arm.

Patient Data

Age: 60 years
Gender: Female
Modality: X-ray

Spiral wedge fracture of the proximal to mid humeral diaphysis. The distal fragment is slightly posteriorly displaced and angulated. The shoulder and elbow remain enlocated. 

Later that same day

Modality: X-ray

Images obtained after the application of a plaster back slab demonstrates increased displacement and angulation when compared to the previous study. 

3 months later

Modality: X-ray

There is a healing fracture of the midshaft of the humerus, with approximately 5 degrees of varus angulation at the fracture site. The fracture line is no longer visualised, and there is organising callus around the fracture. 

Case Discussion

Typical appearances of a spiral fracture of the midshaft of the humerus, demonstrating healing despite significant initial angulation. 

PlayAdd to Share

Case Information

rID: 18162
Case created: 14th Jun 2012
Last edited: 1st Oct 2016
Tag: humerus
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.